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The MET/AXL/FGFR Inhibitor S49076 Impairs Aurora B Activity and Improves the Antitumor Efficacy of Radiotherapy
Céline Clémenson1,2, Cyrus Chargari1,2,3,4, Winchygn Liu1,2
1Gustave Roussy, Université Paris-Saclay, UMR Radiothérapie Moléculaire, Villejuif, France.
Abstract:
Several therapeutic agents targeting HGF/MET signaling are under clinical development as single agents or in combination, notably with anti-EGFR therapies in non-small cell lung cancer (NSCLC). However, despite increasing data supporting a link between MET, irradiation, and cancer progression, no data regarding the combination of MET-targeting agents and radiotherapy are available from the clinic. S49076 is an oral ATP-competitive inhibitor of MET, AXL, and FGFR1-3 receptors that is currently in phase I/II clinical trials in combination with gefitinib in NSCLC patients whose tumors show resistance to EGFR inhibitors. Here, we studied the impact of S49076 on MET signaling, cell proliferation, and clonogenic survival in MET-dependent (GTL16 and U87-MG) and MET-independent (H441, H460, and A549) cells. Our data show that S49076 exerts its cytotoxic activity at low doses on MET-dependent cells through MET inhibition, whereas it inhibits growth of MET-independent cells at higher but clinically relevant doses by targeting Aurora B. Furthermore, we found that S49076 improves the antitumor efficacy of radiotherapy in both MET-dependent and MET-independent cell lines in vitro and in subcutaneous and orthotopic tumor models in vivo In conclusion, our study demonstrates that S49076 has dual antitumor activity and can be used in combination with radiotherapy for the treatment of both MET-dependent and MET-independent tumors. These results support the evaluation of combined treatment of S49076 with radiation in clinical trials without patient selection based on the tumor MET dependency status. Mol Cancer Ther; 16(10); 2107-19. ©2017 AACR.
Insights
S49076, an inhibitor of MET, AXL, and FGFR, shows dual antitumor activity by targeting MET or Aurora B. This agent enhances radiotherapy efficacy in both MET-dependent and independent tumors, supporting its clinical evaluation with radiation therapy.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- HGF/MET signaling pathway is a target for cancer therapies, particularly in non-small cell lung cancer (NSCLC).
- Combination therapies involving MET inhibitors and radiotherapy are under investigation, but clinical data are limited.
- S49076 is an oral inhibitor targeting MET, AXL, and FGFR, currently in Phase I/II trials for NSCLC.
Purpose of the Study:
- To investigate the impact of S49076 on MET signaling, cell proliferation, and survival.
- To evaluate the combination of S49076 with radiotherapy in preclinical cancer models.
- To determine if S49076 has dual antitumor activity and its efficacy in MET-dependent and independent tumors.
Main Methods:
- Assessed S49076's effects on MET signaling, cell proliferation, and clonogenic survival in various cancer cell lines.
- Utilized MET-dependent and MET-independent cell lines for in vitro studies.
- Evaluated the combination of S49076 and radiotherapy in subcutaneous and orthotopic tumor models in vivo.
Main Results:
- S49076 demonstrated cytotoxic activity against MET-dependent cells via MET inhibition at low doses.
- S49076 inhibited growth of MET-independent cells by targeting Aurora B at clinically relevant doses.
- S49076 significantly improved the antitumor efficacy of radiotherapy in both MET-dependent and MET-independent models.
Conclusions:
- S49076 exhibits dual antitumor activity, acting through MET inhibition or Aurora B targeting.
- S49076 enhances the efficacy of radiotherapy in a broad range of tumors, irrespective of MET dependency.
- These findings support the clinical investigation of S49076 in combination with radiation therapy for various cancers.

